Individual
ALIESHA WAHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8458
(631) 968-3000
Mailing address
30 CHESHIRE RD, INWOOD, NY 11096-1033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
067041
NY
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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